Individual
JORDAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 ALLEN AVE, RAPID CITY, SD 57701-1106
(605) 981-7052
Mailing address
707 ALLEN AVE, RAPID CITY, SD 57701-1106
(605) 981-7052
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
157860013
SD
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
About Stedi
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